Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Room Use Request Form
Fall Quarter requests: Can be submitted beginning September 29th at 9:30am. Requests submitted prior
WILL NOT BE CONSIDERED.
REQUESTS WILL NOT BEGIN TO BE PROCESSED UNTIL WEEK 2 (October 6
).
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of your organization/department:
*
Your answer
My organization is a/n:
*
SEAL Registered Student Group
Campus Department
Off-Campus Organization
Your name:
*
Your answer
Phone (Please enter in xxx-xxx-xxxx format):
*
Your answer
Your 1st choice for day, date, & time:
*
NOTE: Cultural Resource Centers may not be reserved Monday – Friday 1pm – 5pm. Please ensure to list a start and end time of your request. Ex: 6pm - 8pm
Your answer
If your first choice is not available, list any other days, dates, and times you would like to request.
*
NOTE: Cultural Resource Centers may not be reserved Monday – Friday 1pm – 5pm.
Your answer
If recurring, please state frequency and end date:
e.g. one time, weekly on M T W Th F (state day of the week), every other week M T W Th F (state day of the week), monthly, other
Your answer
Please select your group’s 1st choice for space. PLEASE BE ADVISED ALL CRCSs ARE CURRENTLY NOT ALLOWED TO HAVE MORE THAN 25 ATTENDEES AT A TIME :
*
Choose
Any room that accommodates our anticipated attendance.
African diasporic Cultural Resource Center (AdCRC), SRB Rm 1107, Capacity 40
American Indian and Indigenous Cultural Resource Center ‚ (AIICRC), SRB Rm 1219, Capacity 25
Asian Resource Center (ARC), SRB Rm 1105, Capacity 40
Chicanx/Latinx Cultural Resource Center (CLCRC), SRB Rm 1108, Capacity 40
Middle Eastern, North African, South Asian Resource Center (MENASARC), SRB Rm 1106, Capacity 40
EOP Conference, SRB Rm 2228, Capacity 20
El Centro de Arnulfo Casillas (Building 406; Activity Room), Capacity 49
El Centro de Arnulfo Casillas (Building 406; 1st floor Conference Room; Room 111 ), Capacity 18
El Centro de Arnulfo Casillas (Building 406; 2nd floor Conference Room; Room 216), Capacity 18
El Centro de Arnulfo Casillas (Building 406; Study Room 113), Capacity 14
Please select your group’s 2nd choice for space:
Choose
Any room that accommodates our anticipated attendance.
African diasporic Cultural Resource Center (AdCRC), SRB Rm 1107, Capacity 40
American Indian and Indigenous Cultural Resource Center ‚ (AIICRC), SRB Rm 1219, Capacity 25
Asian Resource Center (ARC), SRB Rm 1105, Capacity 40
Chicanx/Latinx Cultural Resource Center (CLCRC), SRB Rm 1108, Capacity 40
Middle Eastern, North African, South Asian Resource Center (MENASARC), SRB Rm 1106, Capacity 40
EOP Conference, SRB Rm 2228, Capacity 20
El Centro de Arnulfo Casillas (Building 406; Activity Room), Capacity 49
El Centro de Arnulfo Casillas (Building 406; 1st floor Conference Room), Capacity 18
El Centro de Arnulfo Casillas (Building 406; 2nd floor Conference Room), Capacity 18
El Centro de Arnulfo Casillas (Building 406; Study Room 113), Capacity 14
Please select your group’s 3rd choice for space:
Choose
Any room that accommodates our anticipated attendance.
African diasporic Cultural Resource Center (AdCRC), SRB Rm 1107, Capacity 40
American Indian and Indigenous Cultural Resource Center ‚ (AIICRC), SRB Rm 1219, Capacity 25
Asian Resource Center (ARC), SRB Rm 1105, Capacity 40
Chicanx/Latinx Cultural Resource Center (CLCRC), SRB Rm 1108, Capacity 40
Middle Eastern, North African, South Asian Resource Center (MENASARC), SRB Rm 1106, Capacity 40
EOP Conference, SRB Rm 2228, Capacity 20
El Centro de Arnulfo Casillas (Building 406; Activity Room), Capacity 49
El Centro de Arnulfo Casillas (Building 406; 1st floor Conference Room), Capacity 18
El Centro de Arnulfo Casillas (Building 406; 2nd floor Conference Room), Capacity 18
El Centro de Arnulfo Casillas (Building 406; Study Room 113), Capacity 14
Briefly explain your order of preference or need for more than one room (if requesting multiple rooms):
Your answer
For El Centro requests only: do you need access to the kitchen oven, stove, counter space, and/or communal kitchen items for your event? If yes, please specify which are applicable. If you are not requesting to use a space at El Centro, please write N/A
*
Your answer
Event Type:
*
Meeting
Speaker
Conference
Fundraiser
Special Event
Other:
Expected Attendance:
*
Your answer
Will food be served? Currently all food is asked to be eaten outside of the CRC/SRB
*
Yes
No
If yes, what food/s?
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of California, Santa Barbara.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report
